Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03481 | Date 09/02/2019 |
| Token No | SM/19-20/8343 10/08/2019 | Serial | 064 Last Visit: 20/06/2022 |
| Patient Name | Mr. SOUVIK DUTTA | Contact No | 9830823598 |
| Address | 33/1 CHATRA DUTTA PARA LANE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||